Musyimi Christine W, Mutiso Victoria N, Haji Zahra R, Nandoya Erick S, Ndetei David M
Africa Mental Health Foundation, Nairobi, Kenya.
University of Liverpool, Liverpool, UK.
Community Ment Health J. 2018 Jan;54(1):84-91. doi: 10.1007/s10597-016-0072-9. Epub 2016 Nov 30.
We aimed to determine the prevalence and determinants of depression using mobile based mental health Global Action Programme Intervention guide (mhGAP-IG) in remote health care settings where most priority mental health problems are managed by non-mental health specialists and evaluate the feasibility of the application. Adult patients were recruited from four rural public health facilities in Kenya using systematic random sampling and screened for depression. There were no missing items since the application prevented saving of data unless all the items were answered. The prevalence of depression was 25% with suicidal behavior being the most significant comorbid problem. Older age, personal and a family history of a mental disorder were significantly correlated with depression. Exploring the use of health-related mobile applications in identification of priority mental health problems is useful notably in low-resource settings; and also forms a basis for prevention of mental disorders and intervention at acute stages.
我们旨在利用基于手机的精神卫生全球行动计划干预指南（mhGAP-IG），确定偏远卫生保健环境中抑郁症的患病率和决定因素，在这些环境中，大多数重点精神卫生问题由非精神科专科医生处理，并评估该应用的可行性。采用系统随机抽样方法，从肯尼亚的四个农村公共卫生机构招募成年患者，并对其进行抑郁症筛查。由于该应用程序除非所有项目都得到回答，否则会阻止数据保存，因此没有缺失项目。抑郁症的患病率为25%，自杀行为是最显著的共病问题。年龄较大、个人及家族精神障碍病史与抑郁症显著相关。探索使用与健康相关的移动应用程序来识别重点精神卫生问题非常有用，特别是在资源匮乏的环境中；这也为预防精神障碍和急性期干预奠定了基础。
